Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.30 / $6,541.00 / $13,413.92	Facility		$1,475.30	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $391.85 / $2,104.65 / $3,775.98	Facility		$391.85	$2,104.65	$3,775.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.45 / $2,104.65 / $3,775.98	Facility		$486.45	$2,104.65	$3,775.98